Keminger K
MMW Munch Med Wochenschr. 1976 Nov 26;118(48):1549-54.
Experience in the surgical management of a series of 65 cases with hyperparathyroidism is described (primary HPT: 55, secondary HPT: 3, tertiary HPT: 2, malignant HPT: 5) The consecutive forms of primary HPT, i.e. quarternary or quinternary HPT, and of secondary HPT, i.e. tertiary HPT, are discussed in more detail. Dystopic location was observed in 12.3%. In 4.6% no adenoma was found during the operation. A modern method for the localisation is the measurement of parathyroid hormone levels by radioimmunoassay. In nearly all publications we observe an increase in the renal forms. Intensive search for primary HPT is essential in all cases with recurrent renal calculi.
本文描述了65例甲状旁腺功能亢进症患者的手术治疗经验（原发性甲状旁腺功能亢进症：55例，继发性甲状旁腺功能亢进症：3例，三发性甲状旁腺功能亢进症：2例，恶性甲状旁腺功能亢进症：5例）。文中更详细地讨论了原发性甲状旁腺功能亢进症的连续形式，即四发性或五发性甲状旁腺功能亢进症，以及继发性甲状旁腺功能亢进症的连续形式，即三发性甲状旁腺功能亢进症。异位位置发生率为12.3%。4.6%的患者在手术中未发现腺瘤。一种现代定位方法是通过放射免疫测定法测量甲状旁腺激素水平。在几乎所有出版物中，我们都观察到肾脏形式的增加。对于所有复发性肾结石病例，积极寻找原发性甲状旁腺功能亢进症至关重要。
